Membership Application Form

By learning more about your lifestyle and habits, we can take better care of you and make sure you reach your health and lifestyle goals and get the most out of your membership.

 


Membership Conditions

1. This membership agreement is entered into between ManageHealth and the below-named member. It will begin on the date this membership agreement is signed and will continue on an ongoing basis or until such time as you terminate our services.

2. Your membership includes  supervised access to our PT Studio. Members will be given free access to our PTMinder App to manage their bookings and memberships. 

 3. Each member regardless of membership type will be required to undertake a health assessment and complete and sign the below Pre-Exercise Questionnaire prior to commencing with ManageHealth.

4. ManageHealth memberships limited to persons 14 years and above. Parental permission is required for all members who are less than 16 years of age, with all membership and consent forms requiring full parental acknowledgement and signatures, confirming the ability to undertake a ManageHealth membership.

5. Upon joining ManageHealth , applicants for membership may be advised that a medical certificate from a registered medical practitioner is required, prior to being granted permission to use or participate in any exercise program.

6. If the member believes there is a risk to the member’s health by participating in any fitness, exercise or service provided at ManageHealth, the member must inform ManageHealth in writing about the risk.

8. By Clicking the submit box below, the member accepts all of the above ManageHealth  membership terms and conditions in their current form and agrees to abide by them. If the member chooses to renew their membership at any time or chooses to alter their membership type, they are thereby accepting the most current terms and conditions of ManageHealth  membership at the time of renewal / altering their membership type. If the member does not wish to sign the above terms and conditions, ManageHealth  may not be able to provide the member with goods and / or services or administer a membership. A copy of these signed membership forms will be stored in your PTMinder account platform.

Direct Debit Membership Terms and Conditions

1. All payments for ManageHealth  direct debit memberships are controlled through “Stripe and our PTMinder Platform”, who are an external direct debit service provider for ManageHealth.

 2. The membership fee for ManageHealth memberships will be charged on a weekly or fortnightly basis in advance in the amount indicated by you on this application form on a recurring billing cycle.

 3. Upon membership acceptance the said amount will be deducted from your nominated account to be set up by you through the ManageHealth  website Stripe payment platform. The direct debit membership fee set up and payments can be set up automatically via the ManageHealth  Website https://managehealth.ptminder.com We will send you your log in account details separately to this agreement.

 4. This payment will recur each week/fortnight until such time as it is cancelled by you. Please consult the cancellation policy section of these terms and conditions for more details.

 5. In accordance with a direct debit request via PTMinder and Stripe, the nominated card / account holder is required input details into your Account on PTMinder to authorise all direct debit transactions. ManageHealth is in no way responsible for a member’s personal bank account nor is it responsible to keep track of any direct debit transactions that occur from a member’s personal bank account over the course of a member’s membership.

 Cancellation Policy

1. Members maintain the right to cancel payment at any time in advance of the next billing date. Cancellation must be done in writing by email to the following address: peter@managehealth.com.au and the email must be received before the new billing cycle or you will be charged for that period.

2. If you need to cancel an appointment or unsupervised session, please notify us at least 24 hours in advance via your PTMinder APP of the appointment date to reschedule your session.

 3. ManageHealth reserves the right to cancel an ongoing direct debit membership in the event of 2 consecutive dishonoured payments or non-compliance to ManageHealth membership terms and conditions.

 4. By clicking below submit box, the member accepts all of the above ManageHealth  Direct Debit membership terms and conditions in their current form and agrees to abide by them.

 SERVICES

You will be provided with the services set out depending on the membership option you have selected. This is summarised for you in your client portal on the PTMinder ManageHealth  website.

TERMINATION

Termination of this membership may occur at the discretion of ManageHealth when an impasse is reached with the member. As long as the member adheres to the policies and procedures of ManageHealth and ManageHealth adheres to professional practices and standards, the relationship will continue. The goal is to better your health and wellbeing so all efforts will be made towards that end.

 Examples of terminable offences include lack of payment and lack of adherence to policies and procedures.

 Pre Exercise and Authority / Waiver Form

In preparation for physical activity, please tell us about ALL of your existing medical and physical conditions. It is your responsibility to complete this form before participating in any physical activity. For any conditions that can be affected by exercise, you may be asked to consult your doctor and obtain a written medical clearance to exercise. The information contained will be treated as confidential and only revealed to relevant team (staff) for your safety.

 

Acknowledgement release and assumption of Risk

  • I understand and am aware that I will be held liable for any damages or harm caused by me to any persons or property whilst at ManageHealth.
  • I understand and am aware that upon joining the ManageHealth, I must first assess my own fitness level, ability to exercise & any potential health risks that may affect my ability to participate in a fitness service at ManageHealth.
  • I understand that to enter the ManageHealth PT Studio with a known health risk / medical condition, I am doing so at my own risk & will not hold ManageHealth, its officers, employees, contractors and agents accountable for anything resulting from the health risk / medical condition or a change of my state of health.
  • I understand and am aware that any type of strength, flexibility and aerobic exercise, including the use of equipment has inherent risks. I also understand that fitness activities involve a risk of injury and even death and that I am voluntarily participating in these activities and using equipment and machinery with knowledge of the danger involved. I hereby agree to expressly assume and accept any and all risks of injury or death.
  • I have read and understood the questions in this form and that I have answered the questions honestly and to the best of my knowledge and ability.

Upon completing the below application and Clicking the Submit Button below I agree that I have read and understood the terms and conditions of this membership and know that it affects my legal rights